WO2002068614A2 - Protéine du facteur régulateur de l'interféron-1/de fusion réceptrice d'oestrogene humain et son utilisation dans le traitement des carcinomes - Google Patents
Protéine du facteur régulateur de l'interféron-1/de fusion réceptrice d'oestrogene humain et son utilisation dans le traitement des carcinomes Download PDFInfo
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- WO2002068614A2 WO2002068614A2 PCT/EP2002/002036 EP0202036W WO02068614A2 WO 2002068614 A2 WO2002068614 A2 WO 2002068614A2 EP 0202036 W EP0202036 W EP 0202036W WO 02068614 A2 WO02068614 A2 WO 02068614A2
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Definitions
- Interferon regulatory factor-1/human estrogen receptor fusion protein and its use for treating carcinomas
- the invention relates to the development of methods for 5 treating tumors.
- the methods are based on IRF-1, particularly the activation of an IRF-1/human estrogen receptor fusion protein which is reversible activalable by ⁇ -estradiol.
- CTL cytotoxic T lymphocyte
- E2 ⁇ -estradiol L5
- FCS fetal calf serum
- fosB transcription factor fosB
- HCC hepatocellular carcinoma cell
- HER1 EGF receptor
- ICE caspase 20
- IL-15 interleucin-15
- iNOS inducible NO synthase
- ISG interferon stimulated gene
- ISGF3 IRF-1 related subunit
- ISRE interferone stimulated response element 25
- MECL1 multicatalytic endopeptidase complex 1
- NK cell natural killer cell 30
- OASE 2',5'-01igo (A) Synthetase
- Hepatocellular carcinoma ranks fifth in frequency among all malignancies in the world with an estimated number of 437.000 new cases in 1990 (1).
- various nonsurgical treatment modalities have been developed and the surgical techniques much improved, none of these therapies has significantly improved the extremely poor prognosis of patients with HCC.
- the overall 5-yr survival rate worldwide is only 2% (2) and, therefore, novel gene and immunotherapeutic strategies for HCC are being developed.
- the inventors attempted to employ the broad role of interferon regulatory factor-1 (IRF-1) (3) as a tumor suppressor and immune modulator for the treatment of tumors. They used an immunocompetent syngeneic HCC tumor model in mice and another tumor cell line for test in immunodeficient mice.
- IRF-1 interferon regulatory factor-1
- IRF-1 expression leads to the induction of many interferon stimulated genes (ISGs) (4-6) and thereby induces typical IFN-functions including induction of histocompatibility antigens (7) and an antiviral state (5, 8) . Since the IRF-1 gene per se is inducible by IFNs it was suggested that it might be involved in IFN- ediated cellular responses (5, 9, 10) . However, in mice and cells lacking functional IRF-1 genes the IFN-induced induction of typical ISGs (e.g., 9-27, 1-8, PKR) is not affected (8, 11-13) .
- ISGs interferon stimulated genes
- IRF-1 seems to stimulate the IFN-specific induction of ISGs by ISGF-3 which binds the ISG-promoter with the IRF-1 related subunit ISGF3 (14) .
- a specific alteration in these mice is the lack of iNOS (inducible NO synthase) induction in response to IFN- ⁇ (15) .
- IRF-1 exerts, an antiproliferative effect by DNA binding and transactivation (4) . It is known to induce a number of genes which exert growth inhibitory effects. Among them are Lysyl oxidase (16) / PKR (17), 2 '-5' OASE (18), Indoleamine 2,3- dioxigenase (19) , and Angiotensin type II receptor (20) . In established cell lines of fibroblast and epithelial origin, IRF-1 leads to cell growth arrest without signs of apoptosis (21) . However, similar to the activity of the tumor suppressor p53 required for ras induced apoptosis (22, 23) , IRF-1 is able to exert oncogene dependent apoptosis.
- the inventors have shown that 3T3 cells which are growth inhibited by IRF-1, undergo apoptosis after conditional HER1 oncogene activation (24) . Indeed, the promoter regions of certain caspase genes like ICE contain ISRE-like sequences (25) . These genes might be targets for IRF-1 (26) .
- IRF-1 has been identified as a tumor suppressor (4, 17, 24, 27) . Chromosomal deletions of the IRF-1 locus in humans are associated with myelodysplasia and certain leukemias (28) . Primary embryonic fibroblasts with a null mutation in- the IRF-1 gene are susceptible to transformation by the expression of a single oncogene (c-Ha-ras) . These IRF-1-' " cells do not undergo apoptosis upon c-Ha-ras oncogene expression and serum starvation while wild type cells harboring IRF-1 genes undergo programmed cell death (21) .
- IRF-1 expression also reverts the tumorigenic phenotype exerted by the c-myc and fosB oncogenes (29) . Further data indicated that mice lacking c-Ha-ras and IRF-1 exhibit a higher rate of tumorigenicity (30) .
- IRF-1 The in vivo function of IRF-1 as a tumor suppressor is complex. Depending on the cell type, IRF-1 induces growth inhibition, apoptosis, effects the extracellular matrix as well as immunomodulatory functions. IRF-1 induces a number of immunomodulatory effects like MHC class I (31, 32) , iNOS (15) , IFN- ⁇ (11) transcription, and is also necessary for proper expression of IL-15 (33) . Transient expression of MHC class I (31, 32) , iNOS (15) , IFN- ⁇ (11) transcription, and is also necessary for proper expression of IL-15 (33) . Transient expression of MHC class I (31, 32) , iNOS (15) , IFN- ⁇ (11) transcription, and is also necessary for proper expression of IL-15 (33) . Transient expression of MHC class I (31, 32) , iNOS (15) , IFN- ⁇ (11) transcription, and is also necessary for proper expression of IL-15 (33) . Transient expression
- IRF-1 leads to the activation of the IFN- ⁇ gene (9, 34, 35) .
- IRF-1 knock-out cells demonstrate that IRF-1 is involved in the differentiation and function of NK cells (33, 36) , in the generation of the THl type of T helper cells, and DNA damage (26, 37) .
- IRF-1 is further involved in up- regulation of the antigen presentation by transcriptional induction of LMP2, TAP-1 and MECL1 (38, 39) as well as an induction of MHC class II (7, 40) .
- the aim of the present invention was to demonstrate the potential of IRF-1 for therapeutic approaches for tumors.
- This report details the construction of plasmids and murine cell lines encoding an IRF-1/human estrogen receptor fusion protein, which becomes active in the presence of ⁇ -estradiol (E2) (4) and the detailed characterization of the in vitro phenotype of these cell lines.
- the inventors describe the protective and therapeutic potential of this activatible IRF-1 system against tumor growth in vivo using immune competent and incompetent mice, characterize the T cell response against the tumor, and demonstrate that immunologic tolerance to the HCC specific self differentiation antigen mouse ⁇ -fetoprotein (AFP) (41) can be broken by this approach.
- AFP self differentiation antigen mouse ⁇ -fetoprotein
- the problem of the present invention can be solved by the use of a gene construct or a polynucleotide by means of which the activity of its gene product, a member of the IRF family, can become activated, for the treatment, prevention, protective treatment and/or prophylactic immunisation against tumoral, infectious and/or immune diseases.
- a characteristic embodiment of the present invention comprises the use as mentioned above, wherein the member of the IRF family as gene product is selected from the group consisting of wild-type IRF-1, synthetic IRF-1, immunologically active IRF-1 variants, a wild-type member of the IRF family other than IRF-1, a synthetic member of the IRF family other than IRF-1, immunologically active variants of a member of the IRF family other than IRF-1, and fusion proteins thereof.
- the present invention relates to the use as mentioned above for the treatment of mammals and especially humans.
- a further embodiment comprises the use as mentioned above, wherein the gene construct encodes a member of the IRF family as a fusion protein comprising said member as one of the domains of the fusion protein and a foreign protein as another domain of the fusion protein, wherein the activity of the fusion protein can be switched on and off by chemical or physical means, especially, wherein the gene construct encodes the expression of an IRF-l/hER fusion protein, the activity of which can be regulated by compounds with estrogenic or anti-estrogenic activity.
- a further embodiment comprises the use as mentioned above, wherein the gene construct or the . polynucleotide is provided as a product for transfer into mammalian cells, especially a viral vector, preferably an adenoviral vector.
- a characteristic feature of the present invention consists of the expression of proteins mentioned above which can be switched on by chemical or by physical activation, for example thermally or by irradiation.
- a further characteristic feature consists of the expression of said proteins, wherein the expression can be switched on or off by means of a regulatable promoter, for example by an external stimulus, especially by tetracyclines .
- An advantageous embodiment of the present invention consists of a vaccine comprising a gene construct or a polynucleotide as defined in one or more of the preceding claims, together with one or more antigens selected from the group consisting of viral, bacterial, fungal, and parasitic origin or one or more antigen encoding genes derived from tumor cells.
- the advantage of this embodiment consists of avoiding the use of tumor cells.
- the vaccination can be carried out by applying merely a gene construct or polynucleotide and the antigen encoding sequence (s) are provided by means of separate vectors, a vector which provides all components, or as polycistronic expression units.
- a further advantageous embodiment comprises a vaccine as mentioned above, wherein the gene construct or polynucleotide and the antigen encoding sequence (s) are provided as viral or bacterial carrier.
- Another embodiment of the present invention consists of the use as mentioned above for the production of preparations for the treatment, prevention, protective treatment and/or prophylactic immunisation of tumoral, infectious and/or immune diseases.
- another embodiment relates to a member of the IRF family or a fusion protein comprising or consisting of said member as one of the components of the fusion protein and a therapeutically acceptable protein as another component of the fusion protein for the treatment, prevention, protective treatment and/or prophylactic immunisation of tumoral, infectious and/or immune diseases, especially a fusion protein, wherein IRF-1 is one of its components and/or hER is the other component of the fusion protein.
- the present invention comprises further a prophylactic and/or therapeutic composition consisting of or comprising a member of the IRF family or a fusion protein comprising or consisting of said member as one of the components of the fusion protein and a therapeutically acceptable protein as another component of the fusion protein for the treatment, prevention, protective treatment and/or prophylactic immunisation of tumoral, infectious and/or immune diseases, especially a composition, wherein IRF-1 is one of the components of the fusion protein and/or hER is the other one of its components .
- the present invention concerns a human cell charged ex vivo with a gene construct or polynucleotide as mentioned above for the expression of a member of the IRF family, preferably by charging a cell by gene transfer, physical transduction, more preferably by electroporation, chemical transduction or viral transduction.
- the human cell mentioned above may be an autologous or an allogenic cell.
- the human cell mentioned above may be a tumor cell, preferably a carcinoma cell, more preferably a hepatocellular carcinoma cell, a sarcoma cell or a tumor derived from the hematopoietic system. Additionally, the human cell mentioned above is suited for the treatment, prevention, protective treatment and/or prophylactic immunisation against tumoral, infectious and/or immune diseases.
- a preferred advantageous embodiment of the present invention relates to a human antigen presenting cell (APC) , wherein the cell has been subjected to a gene transfer, physical transduction, especially electroporation, chemical transduction or viral transduction, with one or more genes mentioned in the embodiments of vaccination.
- APC human antigen presenting cell
- the invention contains an embodiment of a human cell as mentioned above, wherein the active level of the member of the IRF family is higher than that of IRF-1 induced by interferon-beta .
- FIG. 1 IRF-1 mediates cell growth inhibition in Hepa 1-6 cells.
- A Western blot analysis of IRF-lhER fusion protein in Hepal-6 cells transfected with IRF-lhER. Lysates (50 ⁇ g of protein) derived from these cell clones were subjected to SDS-PAGE and analyzed using an anti-ER antibody (top panel) . The membrane was stripped and reprobed with an anti-actin antibody to control protein loading of the samples (bottom panel) .
- B For determination of cell growth, cells derived from the same clones were seeded in wells of microtiter plates and grown with (black bars) or without ( white bars) 1 ⁇ M ⁇ -estradiol. The metabolic activity of the cultures was measured after 7 days of treatment. Since the growth characteristics of individual Hepal-6 cell clones differ slightly, the metabolic activity of untreated cells was set as 100%.
- FIG. 1 Activation of IRF-1 reverts the tumorigenic phenotyp of Hepa 1-6 cells.
- A Anchorage independent growth of IRF-1 transfected cell clones in soft agar.
- B The number of colonies of the indicated cell clones was determined after 3 weeks culture without (black bars) and with (white bars) 1 ⁇ M ⁇ -estradiol.
- FIG. 3 Activation of IRF-1 leads to increased MHC class I and MHC class II expression.
- FACS analysis of surface proteins of Hepa 1-6 cells expressing IRF-1-hER (clone 9) was done using antibodies directed against H2K b / D b (A) , I-A/I-B (B) , and CD54 (C) .
- HepalRF-lhER cells were cultured for 3 -4 days in estrogen free medium or in medium containing a 1 : 1, 000 dilution of ImM ⁇ -estradiol . Subsequently, cells were stained with the appropriate FITC- or PE-labeled antibodies .
- FIG. 4 ADENOVIRAL TRANSDUCTION OF IRF-1-HER LEADS TO IRF-1 MEDIATED PHENOTYPES
- A Schematic presentation of the different adenoviral vectors as., described in the material and method section.
- Arrow • Cytomegalovirus promoter (CMV) ; Bidirectional arrow: bidirectional tTA-Promoter (bitTA) ; Black dots: SV40 polyadenylation signal; black rectangle: polio virus derived internal ribosomal entry site (IRES) ; eGFP : enhanced green fluorescence protein; LTR: Retroviral long terminal repeat; tTA: transactivator.
- CMV Cytomegalovirus promoter
- Bidirectional arrow bidirectional tTA-Promoter
- Black dots SV40 polyadenylation signal
- black rectangle polio virus derived internal ribosomal entry site (IRES)
- eGFP enhanced green fluorescence protein
- LTR Retroviral long terminal repeat
- tTA transactivator.
- B Western Blot analysis of IRF-1-hER fusion protein in Hepal-6 cells infected with the indicted
- FIG. 5 ACTIVATION OF IRF-1 RETARDS AND PARTIALLY INHIBITS
- mice 10 s cells per mouse were injected subcutaneosly into right flank of NMRI nude mice. Mice were either treated with 1,5 mg E2 every 2 days i.p. or left untreated. Data represent mean values of 5 animals.
- A Tumor growth was measured by the tumor volume.
- B Kaplan-Meier plot showing the percentage of tumor free nude mice survival .
- Fig. 6 In vivo characteristics of HepalRF-lhER and Hepal-6 cells dependent on E2 treatment in syngeneic immunocompetent C57L/J mice and protection against tumor rechallenge.
- A Mice were inoculated with 1 x 10 7 Hepal-6 or HepalRF-lhER cells into the right flank and either treated with 1.5 mg ⁇ - • estradiol every 2 days i.p. or left untreated. Note that 6 out of 8 E2 treated animals were completely protected against HepalRF-lhER tumor growth and 2 animals developed only small tumors which were characterized by a very slow growth rate even after stopping E2 treatment.
- Fig. 7 CTL activity and T cell precursor frequency against Hepal-6 tumors.
- E2 treated mice challenged with HepalRF-lhER cells were in vitro stimulated with 3LL cells and subsequently analyzed for cytotoxic activity against syngeneic Hepal-6 and 3LL carcinoma cells.
- Hepal-6 tumor specific lysis was presented by subtraction of lysis values against 3LL from lysis values against Hepal-6 targets. Values represent means of triplicate determinations.
- Spleen cells derived from tumor challenged or control mice were restimulated using irradiated autologous spleen cells infected with UV-inactivated rW-mAFP and subsequently analyzed for cytotoxic activity against syngeneic Hepal-6 and Lewis lung carcinoma cells at the E:T ratios indicated.
- E2 treated mice challenged with HepalRF-lhER cells were in vitro stimulated with " spleen cells infected with rW-pSCll and subsequently analyzed for cytotoxic activity against syngeneic Hepal-6 and Lewis lung carcinoma cells.
- AFP specific lysis was presented by subtraction of lysis values against 3LL from lysis values against Hepal-6 targets.
- Fig. 9 Identification of antitumoral immune reactivities in vivo and IRF-1 mediated HCC therapy.
- B C57L/J mice were inoculated with 1 x 10 7 HepalRF- lhER (groups 1 and 2) cells into the right flank. Both groups did not receive any E2 treatment. At day 19 tumors had reached a size of about 2000 mm 3 in both groups.
- pBTTAHis The BbrPI/Notl fragment containing the hisdidinol gene was isolated from pDAF2HIS (Spitzer et al.,1998) and inserted into the correspondingly restricted pRBTtTA
- Hyromycin-B-phospotransferase was PCR amplified and inserted via Pmel 5' from the bidirectional tetracycline responsible promoter in pRBTMRS resulting in pHBTMRS (Kroger, 1999) .
- pCMVIHEG The Spel/EcoRI fragment containing the IRF-lhER fusion protein gene and a polio IRES sequence were inserted between a CMV promoter and the eGFP gene resulting in a plasmid expressing IRF-lhER and eGFP on a bicistronic mRNA.
- pCMVIH The sequence encoding for polio IRES and eGFP was eliminated by digestion and religation of pCMVIHEG with PmaCI/Hpal.
- pLTR-TBTIHEG The Pmel/Notl fragment containing the bicistronic expression cassette for IRF-1-hER and eGFP were " inserted into the correspondingly restricted LTR-THTG (Unsinger et al . , 2002) resulting in pLTR-TBTIHEG.
- Ad-IH, Ad-IHEG, Ad-IHEGinv, Ad-LTR-TBTIHEG, Ad-LTR- TBTIHEGinv Recombinant adenoviruses were constructed using a cosmid cloning procedure which allows direct assembly of recombinant adenovirus genomes by cloning in E. coli.
- Cosmid vector pAdcos45 (Unsinger et al . , 2002) was digested with Xbal at a single cloning site in the El region and filled in.
- CMVIHEG cassette of pCMVIHEG as a Pmel/Swal fragment the LTR-TBTIHEG of pLTR-TBTIHEG as BsrBl/FspI fragment and the CMVIH cassette from pCMVIH as Pme/Swal fragment.
- DNA was ligated and packaged in vitro using packaging extracts. Ampicillin resistant clones were isolated after tranduction into E. coli DH5 ⁇ . Cosmid praparations for Ad-IH, Ad-IHEG, Ad-IHEGinv, Ad-LTR-TBTIHEG, Ad-LTR-TBTIHEGinv were obtained after in vi tro packaging and propagation in E. coli . Restriction analysis confirmed the expected structures.
- Murine fibroblast NIH3T3 cells ATCC CRL-1658 ' were maintained in Dulbecco's modified Eagle t s medium (DMEM) , Hepal-6 cells (murine H-2b-restricted HCC cell line; 92110305; European Collection of Animal Cell Cultures) were grown in RPMI 1640 medium and 293 cells (human embryonal kidney cells at low passages; Microbix PD-02-01) were cultivated in minimum essential medium (MEM) .
- Media were supplemented with 10% estrogen-free, heat inactivated fetal calf serum, 2 mM L-glutamine penicillin (lOU/ml) and streptomycin (lOO ⁇ g/ml) .
- Transfected NIH3T3 cells were selected with 128 U/ml hygromycin B, 800 ⁇ g/ml histidinol or 800 ⁇ g/ml G418.
- For selection of Hepal-6 cells 1 ⁇ g/ml puromycin was used.
- NIH3T3 cells were stably cotransfected with pBTTAHis, pHBTMRS, pMT7IRH-l-hER and the neomycin resistence-conferring plasmid pAG60 (Colbere et al . , 1981).
- Hepal-6 cells were stably cotransfected using an expression construct encoding
- adenovirus cosmid DNA was transfected into 293 helper cells using calcium phosphate coprecipitation. 10 to 14 d after transfection when the formation of adenoviral plaques became evident. Viruses were harvested and 293 cells were reinfected. After cytopathic effects were observed virus particles were harvested and the titer determined by infection of 293 cells. DNA (Graham et al . , 1991) confirmed the expected structures, that is correct excision of the viral sequences from the cosmid DNA was controlled by restriction analysis. For adenoviral infection cells were seeded in MEM medium.
- E2 For activation of IRF-1 in the IRF-1-hER fusion protein, E2 (SERVA, Frankfurt, Germany) was added to the cell culture medium to reach a final concentration of 1 ⁇ M.
- IFN-Test The interferon concentrations in the cell culture supernatants were determined by an antiviral assay imploying mouse L929 cells (43) . To confirm the specificity of the antiviral activity a neutralizing monoclonal antibody directed against mouse IFN- ⁇ was added to the supernatant before addition to the test cells.
- Anchorage-independent growth capability was determined by assessing the colony- formation efficiency of cells suspended in soft agar. Ix 10 3 cells were seeded in 50 ⁇ l of 0,3% overlay agar in microtiter plates coated with 50 ⁇ l 0,6% underlay agar. The induction medium was added to the top (50 ⁇ l/well) . Colonies were counted 3 weeks after plating.
- mice Male C57L/J (H-2b) mice were kept in the animal facility of the University Hospital Freiburg and used between the age of 10 to 25 weeks.
- Hepal-6 tumor model The Hepal-6 tumor model in C57L/J mice (44) was chosen because they show reliable growth in the syngeneic host.
- Hepal-6 cells are a derivative of the BW7756 mouse hepatoma that arose in a C57L mouse. MHC class I and II expression is identical between C57L and C57L/J mice and Hepal-6 HCCs are characterized by AFP expression. It could be demonstrated that a reliable tumor growth of Hepal-6 murine HCC cells in 100% of mice was achieved using 1 x 107 or 5 X 106 Hepal-6 cells injected in 100 ⁇ l serum free MEM medium into the right flank of mice. After 6 days, tumors were visible and reached a size of about 2000 mm3 after a mean time of 18 days. This tumor size was used as endpoint in the invention, and mice were subsequently sacrificed. Tumor incidence and volume were assessed every two days using calipers. Data are presented as mean volume +/- SE.
- MHC class I and CD80 expression in Hepal-6 and HepalRF-lhER cells were examined by FACS analysis using an anti-mouse H-2Kb / H-2Db and anti-mouse CD80 specific antibody (clones 28-8-6 and 01940B, respectively) and a subsequent FITC-labeled anti-mouse (clone 02014D) or FITC- labeled anti-rat (clone 10094D) antibody, respectively.
- CD54 (clone 01544D)
- I-A/l-E (clone 06355A)
- CD86 (clone 09274) was determined by PE- or FITC-labeled antibodies (all antibodies derived from PharMingen, San Diego, CA, USA) .
- Cytotoxicity Assays Spleen cells derived from tumor challenged or control mice were suspended and after 6 days of in vitro stimulation in 24 well plates the spleen cells were analyzed for cytotoxic activity. In vitro stimulation was performed by incubating 4 x 107 of tumor primed spleen cells with 1x107 wild-type Hepal-6 cells or, as a negative control for specificity, syngeneic Lewis lung carcinoma cells (3LL) , both irradiated with 8000 rad.
- 3LL syngeneic Lewis lung carcinoma cells
- spleen cells derived from tumor challenged or control mice were stimulated in vitro with spleen cells of untreated syngeneic donor mice which had been infected by UV- inactivated (300mJ) rW-AFP or, as a negative control for specificity, rW-pSCll at a multiplicity of infection (MOI) of five and then irradiated with 20 Gy (2000 rad) to prevent stimulator cells from proliferation. Subsequently, a 6-hour 51Cr release assay was performed. As target cells AFP expressing syngeneic Hepal-6 cells and AFP negative syngeneic Lewis lung carcinoma cells were used.
- % lysis (experimental release - spontaneous release) / (maximum release - spontaneous release) .
- Experimental release represents the mean counts per minute released by target cells in the presence of effector cells.
- Total release represents the radioactivity released after total lysis of target cells with 5% Triton X- 100.
- Spontaneous release represents the radioactivity present in medium derived from target cells only.
- Hepal-6 tumor or mAFP specific lysis was presented by subtraction of lysis values against 3LL from lysis values against Hepal-6 targets .
- Multiscreen-HA 96-well filter plates were coated with 4 ⁇ g/ml rat anti-mouse IFN- ⁇ or rat anti-mouse IL-4 antibody (PharMingen, San Diego, CA, USA, clone R46A2 or 18191A, respectively) at 4°C overnight.
- Spleen cells (1 x 10 5 /well) derived from tumor challenged or unchallenged mice were cultured in triplicates for 20 hours with 1 x 10 4 irradiated stimulator cells (Hepal-6, 3LL, or rW-AFP infected spleen cells) per well in 200 ⁇ l medium.
- biotinylated rat-anti-mouse IFN- ⁇ or IL-4 antibody (PharMingen, San Diego, CA, USA, clone XMG1.2 or 18042D, respectively) was added, and the plates were incubated for 3 hours at room temperature. The plates were again washed, incubated with a 1:1000 dilution of Streptavidin-Alkaline Phosphatase polymer (Mabtech, K ⁇ ln, Germany) for 30 minutes at room temperature and then developed with ALP conjugate substrate solution (BCIP/NBT, BioRad, Richmond, USA) .
- the spots in each well were counted under a microscope, and the values are expressed as numbers of spot-forming cells relative to the number spleen cells added to each well at the start of the culture.
- mice were inoculated with 1 x 10 7 Hepal-6 (groups 1 and 2) or HepalRF-lhER (groups 3 and 4) cells into the right flank.
- Group 5 was not inoculated with any tumor.
- the different groups were treated as follows:
- CD4 and CD8 T cell subpopulations were depleted by i.p. injection of purified hybridoma supernatant.
- a total of 1 mg per mouse per injection of anti-CD8 (clone YTS 169) or anti-CD4 (clone YTS 191.1) (45, 46) was injected on days 5, 3, and 1 before HepalRF-lhER tumor inoculation and every 5 days thereafter.
- the different groups were treated as follows:
- IRF-1 inhibits cell growth of the HCC cell line Hepa 1-6
- IRF-1 Constitutive expression of IRF-1 imposes a strong cell growth inhibition to several cell lines (4, 24, 40) . This results in stable transfectants which are selected for very low, often instable expression of the heterologous IRF-1.
- FIG. 1A top panel
- FIG. 1A normalized to actin expression
- FIG. 1A bottom panel
- c4 Three cell clones with different strength of IRF-lhER expression were selected (c4, c9, c22) . Cell growth of these clones was determined 7 days after IRF-1 activation. As shown in Fig.
- IB cells derived from the three cell clones were sensitive to IRF-1 activity with respect to growth inhibition. The extent of proliferation inhibition varied between 40 and 80% between the different cell clones and correlated with the different expression amounts of IRF-1. Wild-type Hepal-6 cells not expressing IRF-1-hER were used as a control. The nontransfected cell line did not respond to ⁇ -estradiol with alterations in cell growth. This indicates that all three cell clones expressed activatible IRF-1 and responded to the typical growth inhibitory properties of the IRF-1 phenotype . It should be, however, noted that growth inhibition of the Hepal-6 cells was not very strong, if compared to other cell lines (24) .
- IRF-1 induces IFN secretion
- IFN- ⁇ The induction of IFN- ⁇ is a typical property observed after IRF-1 activation.
- the amount of secreted IFN- ⁇ can be taken as a measure of IRF-1 activity (17) .
- the secretion of IFN- ⁇ was determined by an antiviral assay (table 1) .
- IRF-1 was shown to be activated by ⁇ -estradiol in all three cell clones.
- the highest IFN secretion was shown by clone 22, which is in agreement with the strength of IRF-1 expression (Fig. 1A) and proliferation inhibition (Fig. IB) .
- Fig. 1A the strongest IFN secretion was shown by clone 22, which is in agreement with the strength of IRF-1 expression
- Fig. IB proliferation inhibition
- the amount of IFN- ⁇ secreted by the Hepal-6 cell clones is not sufficient to mediate the observed effect on cell growth as determined by the treatment of control cells with comparable amounts of recombinant murine IFN- ⁇ (data not shown) .
- the most definitive in vitro characteristics distinguishing tumorigenic cells from nontumorigenic cells is anchorage- independent growth.
- IRF-1 reverses the transformed phenotype of this HCC cell line in vitro
- the inventors tested its ability to form anchorage-independent colonies in the presence of inactive or activated IRF-1 (Fig. 2) .
- the untransfected tumor cell clones grew well in soft ⁇ agar.
- the colony formation of the transformed wild-type Hepal-6 cell line not expressing IRF-lhER was not influenced by ⁇ -estradiol.
- the ability of soft agar growth was significantly decreased by the activated IRF-1 in the different cell clones.
- clone 22 In contrast to untransfected cells the IRF-lhER bearing cells formed fewer but somewhat bigger colonies. In presence of E2, clone 22 formed the lowest amount of colonies in soft agar which inversely correlates to the strength of IRF-lhER expression. Clone 9 showed the highest ratio of soft agar colony formation from untreated over E2 treated cells. Therefore, clone c9, in following simply designated HepalRF-lhER, was used for further in vitro characterization and for the in vivo tumor model.
- IRF-lhER modulates immunologically relevant cell surface protein expression IRF-1 expression has been previously shown to increase expression of MHC genes (7, 31) .
- the inventors examined the levels of MHC class I, MHC class II, CD54, CD80, and CD86 expression on the cell surface before and after IRF-1 .activation with -estradiol by FACS analysis .. Wild-type Hepal-6 and E2 untreated HepalRF-lhER cells were characterized by the lack of MHC class II, CD80, and CD86 expression. MHC class I (H-2K b /H-2D b ) was expressed at low and CD54 at high levels.
- IRF-1-hER fusion protein To tranfer IRF-1. in a wide variety of the cells and as a delivery system for in vivo transduction adenoviral vectors based on pAdcos45 containing expression cassettes for the. IRF-1-hER fusion protein were constructed. The cDNA of IRF-lhER was introduced into the adenoviral vector pAdcos45 and viruses were prepared.
- Hepal-6 cells were infected with either pAd-IH, pAd-IHEG, pAd-LTR-TBTIHEG and pAd-LTR-TBTIHEGinv viruses (Fig. 4A) .
- IRF-1-hER expression was analysed by Western blot analysis 48 h after infection. High levels of IRF-lhER expression was found in cells infected with these adenoviruses (Fig. 4B) . IFN secretion was measured after E2 treatment or mock treatment of the infected cells.
- IFN was detected in the culture supernatants of cells infected with adenovirauses containing the IRF-1 hER gene after E2 treatment, indicating that only IRF-1 activation but not the infection as such induces IFN secretion (Table 2) .
- the amount of secreted IFN in adenovirally transduced cells was 3,5 - 6 fold higher than from transfectants which stably express the IRF-lhER fusion protein.
- IRF-1 effects in oncogenically transformed NIH3T3 cells The effects of IRF-1 in oncogenically transformed NIH3T3 cells were examined.
- NIH3T3 cells conditionally expressing the ⁇ ncogenes c-myc and c-Ha-ras were used. Both oncogenes were bicistrinically expressed under the control of the tetracycline regulatable promoter (Kroger, Dissertation, Universitat Braunschweig, 1999) .
- the cells were stably transfected with the IRF-1-hER fusion protein encoding construct. This cell line allows the investigation of IRF-1 effects in the non-transformed NIH3T3 cells (presence of
- IRF-1-hER (absense of Doxycycline) .
- the antitumoral activity of IRF-1 in vi tro was investigated: Influence on proliferation, soft agar growth and IFN induction with and without IRF-lhER activation by E2 treatment were measured. This was done in the non-transformed as well as in the transformed state. E2 and Doxycyline were added for 5 days. Activation IRF-1-hER led to marked reduction of cell growth in both, non transformed and transformed cells to the same level, despite the fact that transformed cells in the absence of E2 showed enhanced cell growth (Table 3) .
- IRF-1 inhibited cell transformation in vitro in oncogenically transformed NIH3T3 cells its effects on tumorigenicity in vivo were assessed.
- the cells were injected subcutaneously into the flanks of nude mice. Tumor formation was assayed. Injection of the transformed cells led to tumor formation within 4 weeks and 100% of implanted animals developed a tumor within 6 weeks (Fig. 5) . If mice were inoculated with transformed cells and were treated with E2, the kinetics of tumor growth was dramatically changed.
- IRF-1 activation inhibits HCC growth
- different treatment groups were randomly designed.
- the Hepal-6 HCC cell line used for the tumor model in syngeneic C57L/J mice was characterized by moderately fast tumor growth and 100% of implanted animals developed a tumor.
- Both wild- type Hepal-6 and HepalRF-lhER cells exhibited nearly identical tumerogenicity afte.r s.c..injection in vivo suggesting the presence of an inactive IRF-lhER fusion protein in E2 untreated HepalRF-lhER cells (Fig. 6A, p>0.5).
- mice inoculated with wild-type Hepal-6 cells were treated with E2 no effect on tumor development was observed in comparison to mice challenged with Hepal-6 or HepalRF-lhER cells without E2 treatment.
- E2 treatment itself has no negative effect on tumor growth and animal health.
- C57L/J mice inoculated with HepalRF-lhER received 2-daily i.p. injections with E2 starting at the time of tumor inoculation, tumor growth was significantly suppressed. It was an important finding that 6 out of 8 animals were completely protected against tumor growth and 2 animals developed only very small tumors which were characterized by a slow growth rate (Fig. 6A) . After 40 days the tumor size was only 450 mm 3 and stopping E2 treatment at day 42 did not result in a faster growth rate of the tumor.
- IRF-1 activation breaks ignorance to tumor specific self antigens
- HCC specific self antigen AFP which is frequently expressed at high levels in HCC cells as a target.
- Intermediate CTL activity against Hepal-6 HCCs endogenously expressing AFP at high levels was observed in E2 treated/HepalRF-lhER challenged mice (Fig. 8A) .
- Fig. 8A Performing ELISPOTs using rW-AFP infected spleen cells alone without effectors or using effectors alone did not result in increased background spot formation, additionally suggesting AFP specificity (data not shown) . These data demonstrate that tolerance to the self antigen AFP can be broken by intratumoral expression of activated IRF-1, a mechanism presumably participating in HCC tumor growth control .
- IRF-1 activation stops increase of actively growing tumors
- IRF-1 activation in tumors on the one flank influences tumor growth in both flanks
- mice were injected subcutaneosly with " HepalRF-lhER cells in the right flank and wt Hepal-6 cells into the left flank. The animals were either treated with 1,5 mg E2 every two days or were left untreated. Activation of IRF-1-hER abolished tumor growth of HepalRF- lhER cells on the right flank of the mice. In addition, although tumor growth of wt Hepal-6 cells on the left flank was also decreased in comparison to Hepal-6 tumor growth which was initiated in the first days, a further expansion as it took place in untreated animals was inhibited.
- HCC is a highly malignant tumor with a poor prognosis and few therapeutic options.
- a new immunotherapeutic approach aimed at the activation of IRF-1 was examined.
- the in vitro phenotype, cell growth, anchorage-independent growth in vitro, immunogenicity in vivo, and the therapeutic potential of IRF-1 all were examined.
- Stable constitutive IRF-1 expression has the disadvantage to select for low expressing clones .
- the actual transgene expression in such cell lines does not much override endogenous IRF-1 expression.
- constitutive expression induces a selection towards loss of IRF-1 responsiveness over time (4, 40) .
- the activatible IRF-lhER system used in the present invention allows the tight regulation of IRF-1 activity and to express rather high levels of IRF-1 in the tumor cells ' .
- estradiol receptor gene (49) Because of the use of a mutant estradiol receptor gene (49) the fusion protein is insensitive to low estradiol concentrations and thus can be used in mice without being activated by endogenous estrogen levels.
- a respective tamoxifen specific mutant of IRF-lhER* (50) did not show tight regulation of IRF-1 activity (A. Kroger, unpublished) .
- IRF-1 exerts its effects by DNA-binding and transactivation of' a number of genes which might contribute to transformation inhibition. Among them are Lysyl oxidase (16), PKR (17, 53) , 2' -5' OASE (18), Indoleamine 2, 3-dioxigenase (19), and Angiotensin type II receptor (20) .
- the role of IFN- ⁇ secretion in this context is not clear but might act as a feed-back enhancer of these genes .
- IRF-1 has several other relevant in vivo antitumor activities. These are due to the immunomodulatory effects of IRF-1, such as the stimulation of helper T and NK cells (54, 55), transcriptional enhancement of MHC genes (4, 31, 56, 57) and of genes involved in antigen presentation (38, 58) . Thus, most events or drugs which enhance the expression or activity of IRF-1 might be useful in cancer therapy by inducing specific killing of transformed cells. Indeed, experiments in mice have been described demonstrating that expression of IRF-1 in aggressive nonimmunogenic sarcoma cells suppresses the malignant phenotype (40) .
- ⁇ the inventors observed a- ⁇ significant activation of tumor specific TH2 cells which may synergistically act against tumor growth (59, 60) .
- AFP specific CTL activity was low as compared to highly immunogenic viral antigens, such as HBV or HCV structural proteins (61, 62) . This may be the result of the low CTL precursor frequencies and/or low affinity TCRs .
- AFP specific T cells after DNA- or dendritic cell-based immunization are functional in vivo against AFP expressing murine HCCs (44, 63) suggesting that AFP specific T cells contributed to the antitumoral effects as presented in this invention.
- Enhanced immunogenicity of HCC tumors expressing IRF-1 may be mediated by upregulation of MHC class I and II molecules as previously described, though MHC class II induction was low in HCC cells.
- the costimulatory molecules CD80 and CD86 could not been detected suggesting that priming of antitumoral 5 immune responses must have occured in the draining lymph nodes by professional antigen presenting cells.
- Additional factors involved in IRF-1 mediated tumor growth control may be the increased generation of MHC class I restricted antigenic peptides for presentation to the immune system by 0 proteasomes (38, 39, 58) .
- HCC hepatocellular carcinoma
- oncogenically transformed 3T3 cells 0 supports the version that tumor growth is significantly reduced when active IFR-1 is expressed, even in nude mice.
- the delay of the tumor growth in nude mice is much higher than it was expected from in vitro data, indicating that the remaining part of the immune system in these animals has been 5 involved.
- mice Although detailed molecular function of tumor defence in mice is not known, the presented data indicate that immune cells (CTL, THl and TH2 cells) are involved. The nude mice 5 experiments suggest that NK cells are also involved. It is known that IFN- ⁇ is a strong activator of NK-cell activity. Further IFN- ⁇ is also known for diverse activation functions in the adaptive immune system. Finally, apoptosis as well as growth inhibitory effects of IRF-1 might contribute to the 0 tumor inhibitory effect which is seen in the cells overexpressing IRF-1. While immunological effects are thought to be mediated by MHC upregulation and interferon secretion other, as yet unknown activities induced by IRF-1 could contribute to the antitumor action.
- the interferon which is secreted upon IRF-1 activation could act systemically as well as local. It is thus possible- that ' the production of IFN in the surrounding of the antigen presenting cells (those ones overexpressing IRF-1) lead to high stimulation of the antitumor activities.
- IRF-1 was demonstrated to induce antitumor activities. It is well known that other IRFs have similar binding properties if compared to IRF-1. E.g., IRF-3 seems to be able to activate the same or a similar set of genes that are activated by IRF-1. Thus, permanently activated IRF-3 or IRF-3 variants, which are constitutively active could have the same antitumor activity as demonstrated here.
- Tumor cells of the patients or tumor cells from other patients with the same tumor entity could be loaded with genes by virus infection or other gene transfer methods. It is unimportant if these genes are expressed only transiently or for a long time period.
- non-specific cells or professional antigen presenting cells which are able or forced to present tumor antigens which are relevant for the target tumor would be loaded by IRF constructs. These cells could be derived from the patient or could be allogenic. The activation of the IRF genes in those cells could be either activated in vitro •5' -immediat-ely before the gift to- the patient .- Alternatively, ' ' they might be activated within the patient by gift of respective activators, ( ⁇ -estradiole or tetracyclines) . In humans, cellular therapies are usually carried out by inactivating other cells, by methods like UV or gamma 0 irradiation.
- IRFs like those ones described above could be transduced by viral vectors like the described adenoviral vector. 5 Preferentially, this would be done by infection of the viruses into the tumor or into tissue close to the tumor. In certain cases it could also be done by systemic application. This would be typically done in the case of liver tumors by application of adenoviruses into the blood stream. It is well 0 known that adenoviruses are mainly captured in liver and gene transfer would be thus far liver-specific. The activation or reduction of the IRF harboured by the viral vectors would be activated in vivo in the patients by respective agents. It should be mentioned that earlier work has shown that IRF-1 5 activation in non-tumor cells causes reversible proliferation inhibition but does not lead to determental effects.
- IRF-1 in the patients' tumor or antigen presenting cells could be activated or induced.
- cytokines and other biological- response modifiers it activate the transcription and production of IRF-1. Strong inducers or combinations of such could be used to induce IRF-1 and to induce the observed antitumor effects.
- Other compounds typically found by high throughput screening which would activate endogenous IRF-1 could be used in the same way.
- a Hepal-6 cells were 24h after infected with adenovirus treated with 1 ⁇ M E2 for 24h. Accumulation of IFN was measured in the supernatant and normalized to 10 6 cells. b 1 ⁇ M ⁇ -estradiol . c not detectable
- Tumor volume (mm 3 ) cell type (mean + SD) injected 3 -E2 +E2'
- mice were treated with 1,5 mg E2 every 2 days i.p. c mice were inoculated with 5 10 6 HepalRF-lhER cells on the right flank and with 5 x 10 6 cells on the left flank d not detectable
- IRF-1 interferon regulatory factor 1
- IRF-1 Interferon regulatory factor 1
- IRF-1 and IRF-2 bind to the same regulatory elements of IFN and IFN-inducible genes, Cell. 58 : 729-39, 1989.
- IRF-1 interferon regulatory factor 1
- IRF-1 interferon regulatory factor 1
- HBsAg hepatitis B surface antigen
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AU2002308216A AU2002308216A1 (en) | 2001-02-26 | 2002-02-26 | Interferon regulatory factor-1/human estrogen receptor fusion protein and its use for treating carcinomas |
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WO2002068614A2 true WO2002068614A2 (fr) | 2002-09-06 |
WO2002068614A3 WO2002068614A3 (fr) | 2002-11-07 |
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PCT/EP2002/002036 WO2002068614A2 (fr) | 2001-02-26 | 2002-02-26 | Protéine du facteur régulateur de l'interféron-1/de fusion réceptrice d'oestrogene humain et son utilisation dans le traitement des carcinomes |
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US (1) | US20040116369A1 (fr) |
EP (1) | EP1363943A2 (fr) |
JP (1) | JP2004529888A (fr) |
KR (1) | KR20030092003A (fr) |
AU (1) | AU2002308216A1 (fr) |
CA (1) | CA2439335A1 (fr) |
WO (1) | WO2002068614A2 (fr) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2003031575A2 (fr) * | 2001-10-05 | 2003-04-17 | Mount Sinai School Of Medicine Of New York Univer Sity | Regulateur de transcription de proteine de fusion hybride destine a induire l'expression d'un gene d'interferon cible |
EP2390362A1 (fr) * | 2006-06-02 | 2011-11-30 | GlaxoSmithKline Biologicals SA | Procédé d'identification si un patient est réactif ou non à l'immunothérapie basé sur l'expression différentielle du gène IRF1 |
Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1777523A1 (fr) * | 2005-10-19 | 2007-04-25 | INSERM (Institut National de la Santé et de la Recherche Médicale) | Méthode pour pronostiquer la progression d'un cancer et les résultats du patient et les moyens pour performer la méthode |
EP3727467A4 (fr) * | 2017-12-22 | 2021-12-01 | Centivax, Inc. | Compositions du complexe majeur d'histocompatibilité (cmh) et procédés d'utilisation correspondants |
KR20220152250A (ko) * | 2020-03-06 | 2022-11-15 | 유니버시티 오브 피츠버그-오브 더 커먼웰쓰 시스템 오브 하이어 에듀케이션 | 암을 치료하기 위한 irf 모듈레이터를 발현하는 종양용해성 바이러스 |
GB202020063D0 (en) * | 2020-12-17 | 2021-02-03 | Imperial College Innovations Ltd | RNA construct |
Citations (2)
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WO1994006818A1 (fr) * | 1992-09-24 | 1994-03-31 | The University Of New Mexico | Facteurs 1 et 2 regulateurs de l'interferon utilise dans le diagnostic de l'oncogenicite |
EP1046710A1 (fr) * | 1999-04-23 | 2000-10-25 | Gesellschaft für biotechnologische Forschung mbH (GBF) | Système de promoteur-transactivateur dans le but d'induire une forte expression genétique chez les eucaryotes - tout en gardant l'option du contrôle de la croissance cellulaire |
Family Cites Families (1)
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US6348586B1 (en) * | 1996-07-25 | 2002-02-19 | The Trustees Of Columbia University In The City Of New York | Unique associated Kaposi's sarcoma virus sequences and uses thereof |
-
2002
- 2002-02-26 AU AU2002308216A patent/AU2002308216A1/en not_active Abandoned
- 2002-02-26 WO PCT/EP2002/002036 patent/WO2002068614A2/fr not_active Application Discontinuation
- 2002-02-26 JP JP2002568710A patent/JP2004529888A/ja active Pending
- 2002-02-26 EP EP02744902A patent/EP1363943A2/fr not_active Withdrawn
- 2002-02-26 KR KR10-2003-7011233A patent/KR20030092003A/ko not_active Application Discontinuation
- 2002-02-26 CA CA002439335A patent/CA2439335A1/fr not_active Abandoned
-
2003
- 2003-08-26 US US10/648,454 patent/US20040116369A1/en not_active Abandoned
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WO1994006818A1 (fr) * | 1992-09-24 | 1994-03-31 | The University Of New Mexico | Facteurs 1 et 2 regulateurs de l'interferon utilise dans le diagnostic de l'oncogenicite |
EP1046710A1 (fr) * | 1999-04-23 | 2000-10-25 | Gesellschaft für biotechnologische Forschung mbH (GBF) | Système de promoteur-transactivateur dans le but d'induire une forte expression genétique chez les eucaryotes - tout en gardant l'option du contrôle de la croissance cellulaire |
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KIRCHHOFF S ET AL: "Interferon regulatory factor 1 (IRF-1) mediates cell growth inhibition by transactivation of downstream target genes" NUCLEIC ACIDS RESEARCH, OXFORD UNIVERSITY PRESS, SURREY, GB, vol. 21, no. 12, 1993, pages 2881-2889, XP002121655 ISSN: 0305-1048 * |
KROEGER ANDREA ET AL: "Growth suppression of the hepatocellular carcinoma cell line Hepa1-6 by an activatable interferon regulatory factor-1 in mice." CANCER RESEARCH, vol. 61, no. 6, 15 March 2001 (2001-03-15), pages 2609-2617, XP001080034 ISSN: 0008-5472 * |
KROGER A (REPRINT) ET AL: "Interferon regulatory factor -1, a potential target for tumor therapy" EUROPEAN CYTOKINE NETWORK, (SEP 1998) VOL. 9, NO. 3, PP. 385-385. PUBLISHER: JOHN LIBBEY EUROTEXT LTD, 127 AVE DE LA REPUBLIQUE, 92120 MONTROUGE, FRANCE. ISSN: 1148-5493., XP001084677 NATL RES INST BIOTECHNOL, GBF, DEPT GENE REGULAT & DIFFERENTIAT, D-38124 BRAUNSCHWEIG, GERMANY * |
TANAKA NOBUYUKI ET AL: "The interferon regulatory factors and oncogenesis." SEMINARS IN CANCER BIOLOGY, vol. 10, no. 2, April 2000 (2000-04), pages 73-81, XP002208226 ISSN: 1044-579X * |
YIM J H ET AL: "IFN regulatory factor-1 gene transfer into an aggressive, nonimmunogenic sarcoma suppresses the malignant phenotype and enhances immunogenicity in syngeneic mice." JOURNAL OF IMMUNOLOGY (BALTIMORE, MD.: 1950) UNITED STATES 1 FEB 1997, vol. 158, no. 3, 1 February 1997 (1997-02-01), pages 1284-1292, XP001079506 ISSN: 0022-1767 * |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2003031575A2 (fr) * | 2001-10-05 | 2003-04-17 | Mount Sinai School Of Medicine Of New York Univer Sity | Regulateur de transcription de proteine de fusion hybride destine a induire l'expression d'un gene d'interferon cible |
WO2003031575A3 (fr) * | 2001-10-05 | 2003-08-14 | Sinai School Medicine | Regulateur de transcription de proteine de fusion hybride destine a induire l'expression d'un gene d'interferon cible |
US7638304B2 (en) | 2001-10-05 | 2009-12-29 | Mount Sinai School Of Medicine Of New York University | Hybrid fusion protein transcription regulator to induce interferon target gene expression |
EP2390362A1 (fr) * | 2006-06-02 | 2011-11-30 | GlaxoSmithKline Biologicals SA | Procédé d'identification si un patient est réactif ou non à l'immunothérapie basé sur l'expression différentielle du gène IRF1 |
Also Published As
Publication number | Publication date |
---|---|
WO2002068614A3 (fr) | 2002-11-07 |
AU2002308216A1 (en) | 2002-09-12 |
CA2439335A1 (fr) | 2002-09-06 |
EP1363943A2 (fr) | 2003-11-26 |
KR20030092003A (ko) | 2003-12-03 |
JP2004529888A (ja) | 2004-09-30 |
US20040116369A1 (en) | 2004-06-17 |
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